title: [Acute vulvar ulcer of Lipschütz: a misdiagnosis entity].
abstract: Acute vulvar ulcer or Lipschütz ulcer has been described in 1917 [1]. Clinical pattern is characterized by a prodromic period, with hyperthermia, malaise, headache, odynophagia, myalgia and cough before the apparition of vulvar localization. Vulvar ulcer is classically deep, painful, necrotic, with edema and adenopathy in an adolescent or young woman without any previous sexual contact. Epstein-Barr Virus is the first etiology, but some authors have suggested other infections. Differential diagnosis has to be made with other sexually transmitted pathology, Behçet disease and Crohn disease. Gynecologist and dermatologist should be aware of this diagnosis to avoid unconscionable treatment and reassure patient and family about sexual transmission.
authors.affiliation: Service de dermatologie, hôpital de la Timone, 264 rue Saint-Pierre, Marseille cedex 5, France.
authors.forename: A
authors.initials: A
authors.lastname: Levy Bencheton
authors.forename: A
authors.initials: A
authors.lastname: Agostini
authors.forename: I
authors.initials: I
authors.lastname: Mortier
authors.forename: C
authors.initials: C
authors.lastname: Sadoun
authors.forename: M
authors.initials: M
authors.lastname: Gamerre
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D020031:Epstein-Barr Virus Infections / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D005334:Fever; D006261:Headache; D006801:Humans; D010146:Pain; D010612:Pharyngitis; D012749:Sexually Transmitted Diseases; D014456:Ulcer / Q000175:diagnosis* / Q000821:virology; D014845:Vulvar Diseases / Q000175:diagnosis* / Q000821:virology